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Houston County Chiropractic, LLC

Details

Name: Houston County Chiropractic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Sep 2007 (17 years ago) (Companies founded in September 2007)
Entity Number: 000-499-862
Register Number: 000499862
ZIP code: 36305 (Companies in Houston, 36305)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 3124 WEST MAIN ST STE 3DOTHAN, AL 36305

Activities CHRIROPRACTIC CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932108560 2005-07-15 2007-09-21 3124 W MAIN ST, STE 3, DOTHAN, AL, 363051146, US 3124 W MAIN ST, STE 3, DOTHAN, AL, 363051146, US

Contacts

Phone +1 334-794-4648
Fax 3347944648

Authorized person

Name DR. MICHAEL CHRISTOPHER FISCHER
Role GENERAL PARTNER/CHIROPRACTOR
Phone 3347944648

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1699
State AL
Is Primary Yes
Taxonomy Code 111N00000X - Chiropractor
License Number 1700
State AL
Is Primary No

Other Provider Identifiers

Issuer BCBS
Number 51076718
State AL
Issuer BCBS
Number 51029411
State AL

Agent

Name Role
FISCHER, CHRIS Agent

Member

Name Role
FISCHER, CHRIS Member
FISCHER, MELISSA Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State